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1770880403
INNOVATIVE REHABILITATION CONSULTANT MEDICAL PC
REGO PARK, NY
NPI
1770880403
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Entity Type
Organization
Authorized Contact
DMITRIY FUZAYLOV
Ownder
646-784-3984
Organization Subpart ?
No
Primary Taxonomy
261QP3300X Clinic/Center Pain
(Licence: NY 241269)
Enumeration Date
2011-02-15
Last Update Date
2021-07-09
Business Address
INNOVATIVE REHABILITATION CONSULTANT MEDICAL PC
9701 66TH AVE
REGO PARK, NY 11374-4245
Phone number: 718-275-5200
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Mailing Address
INNOVATIVE REHABILITATION CONSULTANT MEDICAL PC
21429 JAMAICA AVE
QUEENS VILLAGE, NY 11428-1733
Phone number:
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